KEEFE MEMORIAL HOSPITAL NPI 1003067349

NPI Information

NPI: 1003067349
Provider Name: KEEFE MEMORIAL HOSPITAL

Doing Business As: PRAIRIE VIEW CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
615 W 5TH N
CHEYENNE WELLS, CO
ZIP 80810
Phone: (719) 767-5669
Get Directions

KEEFE MEMORIAL HOSPITAL is a rural health clinic center in Cheyenne Wells, CO. KEEFE MEMORIAL HOSPITAL NPI is 1003067349. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie View Clinic.

The provider's business location address is:

615 W 5TH N
CHEYENNE WELLS, CO
ZIP 80810-578
Phone: (719) 767-5669

The provider's authorized official is Charlene Korrell .
The authorized official title is Ceo and has the following contact phone number (719) 767-5662.

The CLIA number assigned to this NPI record is 06D1060170 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 11/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	063985	MEDICARE OSCAR/CERTIFICATION	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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